Dietary Interventions for the Treatment of Inflammatory Bowel Diseases: An Updated Systematic Review and Meta-analysis

Limketkai, Berkeley N.; Godoy-Brewer, Gala; Parian, Alyssa; Noorian, Shaya; Krishna, Mahesh; Shah, Neha D.; White, Jacob K.; Mullin, Gerard E.

doi:10.1016/j.cgh.2022.11.026

Cited by 31 publications

(30 citation statements)

References 49 publications

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“…The topic of diet and nutrition is of signi cant interest to patients with IBD. It is noteworthy that despite the availability of numerous IBD-related dietary guidelines, no speci c dietary interventions, including a gluten-free diet, CD exclusion diet, speci c carbohydrate diet and the low FODMAP diet, have been universally deemed appropriate for all patients with IBD [36,37]. The selection of dietary patterns among patients with IBD is a dynamic process that evolves with the progression of the disease and associated symptoms.…”

Section: Discussionmentioning

confidence: 99%

Association between avoidant/restrictive food intake disorder risk, dietary attitudes and behaviors among Chinese patients with inflammatory bowel disease: A cross-sectional study

Tu,

Li,

Yin

et al. 2023

Preprint

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Background: Restrictive eating behaviors are common among patients with inflammatory bowel disease (IBD), which may may develop nutritional and/or quality of life impairments into avoidant/restrictive food intake disorder (ARFID). The objective of this study is to estimate the prevalence and characteristics of ARFID in Chinese patients with IBD, and to investigate the current perceptions and dietary behaviors of patients with and without ARFID. Methods: A cross-sectional study was conducted in gastroenterology clinics of four tertiary hospitals in China. Patients with IBD were asked to complete a structuredquestionnaire including demographic characteristics, dietary attitudes and behaviors. The diagnosis of ARFID was established using Chinese version of the Nine-Item Avoidant/Restrictive Food Intake Disorder Screen questionnaire. Results: A total of 483 patients with IBD completed the questionnaires, and 20.3% met clinical criteria for ARFID. The average score of ARFID was 21.9 (interquartile range=17.0-26.0). Binary logistic regression results showed that patients with Crohn's disease (OR=0.483, 95%CI=0.280-0.835; p=0.009), being in an active disease state (OR=0.220, 95%CI=0.123-0.392; p<0.001), holding dietary attitudes regarding symptom control (OR=2.431, 95%CI=1.299-4.548; p=0.005), and reporting a specific dietary history (OR=27.158, 95%CI=3.679-200.456; p=0.001) were significant more likely to suffer from ARFID. Conclusions: ARFID is a common problem among patients with IBD. The incidence of ARFID is particularly high among patients with Crohn's disease, during relapse, and those who hold restrictive dietary attitudes or have a history of specific diets. Therefore, it is imperative to prioritize routine screening and early identification of ARFID, especially among high-risk populations, in future research and clinical practice. Trial registration: ChiCTR2100051539, on 26 September 2021.

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Section: Discussionmentioning

confidence: 99%

Association between avoidant/restrictive food intake disorder risk, dietary attitudes and behaviors among Chinese patients with inflammatory bowel disease: A cross-sectional study

Tu,

Li,

Yin

et al. 2023

Preprint

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“…However, evaluation of individual nutrients does not holistically take into consideration interactions among nutrients or dietary synergy. As such, we conducted a comprehensive systematic review of research of dietary interventions for IBD 61 . The review specifically sought RCTs or prospective observational study trials that had compared an intervention diet with a control diet.…”

Section: Diet For Treatment Of Ibdmentioning

confidence: 99%

Preventative and therapeutic potential of nutrition for inflammatory bowel diseases: A narrative review

Limketkai,

Rau,

Fasulo

2024

J Parenter Enteral Nutr

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Diet strongly shapes the gut microbiome and metabolome, which in turn influence intestinal inflammation in patients with inflammatory bowel disease (IBD). Separate from inflammation and malnutrition, diet's direct interactions with the gastrointestinal system can also provoke or attenuate a host of nonspecific gastrointestinal symptoms. Given these multifaceted effects of diet on inflammation and symptoms, nutrition has been investigated for its potential roles in the prevention and treatment of IBD. This review presents epidemiological, observational cohort, and clinical trial evidence that underlie our current understanding of nutrition for prevention and treatment of IBD.

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“…Clinical studies have shown both diets to be equally efficacious and better tolerated than EEN [ 10 , 41 ]. A recent systematic review of prospective controlled trials found potential benefit of PEN in induction and maintenance of remission in CD [ 42 ].…”

Section: Special Dietsmentioning

confidence: 99%

What Should I Eat? Dietary Recommendations for Patients with Inflammatory Bowel Disease

Saha

Patel

2023

Nutrients

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Inflammatory bowel disease (IBD) is a chronic disorder thought to be caused by enteric inflammation in a genetically susceptible host. Although the pathogenesis of IBD is largely unknown, it is widely accepted that dietary components play an important role. Human and animal-based studies have explored the role of various dietary components such as meat, artificial sweeteners and food additives in causing enteric inflammation. Several diets have also been studied in patients with IBD, specifically their role in the induction or maintenance of remission. The most well-studied of these include exclusive enteral nutrition and specific carbohydrate diet. A diet low in FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides and polyols), typically prescribed for patients with irritable bowel syndrome, has also been studied in a specific subgroup of patients with IBD. In this review, we describe the current evidence on how various dietary components can induce enteric and colonic inflammation, and the clinical–epidemiological evidence exploring their role in predisposing to or protecting against the development of IBD. We also discuss several special diets and how they affect clinical outcomes in IBD patients. Based on the available evidence, we provide guidance for patients and clinicians managing IBD regarding the best practice in dietary modifications.

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Dietary Interventions for the Treatment of Inflammatory Bowel Diseases: An Updated Systematic Review and Meta-analysis

Cited by 31 publications

References 49 publications

Association between avoidant/restrictive food intake disorder risk, dietary attitudes and behaviors among Chinese patients with inflammatory bowel disease: A cross-sectional study

Association between avoidant/restrictive food intake disorder risk, dietary attitudes and behaviors among Chinese patients with inflammatory bowel disease: A cross-sectional study

Preventative and therapeutic potential of nutrition for inflammatory bowel diseases: A narrative review

What Should I Eat? Dietary Recommendations for Patients with Inflammatory Bowel Disease

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